DR. ERIN MARIE KEVERN (D.O.) – Otolaryngology Physician, NPI 1902245194

DR. ERIN MARIE KEVERN (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials D.O.. They hold a License No. 02005351A (IN). The NPI Number for DR. ERIN MARIE KEVERN (D.O.) is 1902245194

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIN MARIE KEVERN (D.O.)
NPI
1902245194
Phone
(616) 459-4514
Address
1425 Michigan St NE
Enumeration Date
20 June 2013
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6163915600
Graduation Year
2013 (13 years ago)
PAC ID
8628210226
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20231003003420
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
ekevern@mybeacon.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:12State licenses:2Other names

428 OTOLARYNGOLOGY in MI

Provider Addresses for DR. ERIN MARIE KEVERN (D.O.)

  • 1425 Michigan St NE

    Grand Rapids, MI 495032027

    Phone: (616) 459-4514

    Type: Location

  • 5900 BYRON CENTER AVE SW

    WYOMING, MI 49519

    Phone: (616) 252-7200

    Type: Mailing

  • 1753 FULTON ST

    ELKHART, IN 465141927

    Phone: (574) 293-9448

    Fax: (574) 293-9480

    Type: Location

  • 100 Michigan St NE

    Grand Rapids, MI 495032560

    Phone: (616) 391-9000

    Type: Location

  • 6913 N Main St Ste 200

    Granger, IN 465308039

    Phone: (574) 647-4540

    Fax: (574) 647-2567

    Type: Location

  • 810 PARK PL

    MISHAWAKA, IN 465453520

    Phone: (574) 366-0240

    Type: Location

  • 710 N NILES AVE

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $7,725.

Total Amount is formed as General ($7,725) + Research ($0) + Ownership ($0) = $7,725.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($3,558).

Total Amount

$7,725

General + Research + Ownership

Payments

61

Total payment records

General Amount

$7,725

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180710000924IOtolaryngologyINTBD
I20231003003420IOtolaryngologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes145114$0
99213Established patient office or other outpatient visit, 20-29 minutes129121$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
69210Removal of impacted ear wax4439$0
31575Diagnostic exam of voice box using a flexible endoscope4136$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I verify DR. ERIN MARIE KEVERN (D.O.) with an NPI only?
You can start verification with NPI 1902245194 for DR. ERIN MARIE KEVERN (D.O.), then check state licensing separately.
Does CMS list DR. ERIN MARIE KEVERN (D.O.) as active?
Yes — DR. ERIN MARIE KEVERN (D.O.) is active in the NPI listing used on this page.
What healthcare role does DR. ERIN MARIE KEVERN (D.O.) hold?
Scheduling teams often label DR. ERIN MARIE KEVERN (D.O.) under Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ERIN MARIE KEVERN (D.O.) on a map?
Expect Grand Rapids, Michigan as a primary anchor for DR. ERIN MARIE KEVERN (D.O.) unless the record lists multiple sites.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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